Individual
DEANNA JOY DAIGREPONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1890 W. GAUTHIER RD, STE 155, LAKE CHARLES, LA 70605
(337) 480-5550
(337) 480-5568
Mailing address
PO BOX 122539, DEPT 2539, DALLAS, TX 75312-2539
(337) 494-2772
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
324915
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Enumeration date
06/01/2017
Last updated
07/21/2022
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